BHC Northwest Psychiatric Hospital LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

122130 Issued in PA

Legal business name

BHC NORTHWEST PSYCHIATRIC HOSPITAL LLC

Practice address

7170 Lafayette Ave
Fort Washington, PA 19034

Phone

(215) 641-5300

Fax

(215) 653-7872

NPI assigned

Dec 8, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Glenn Alexander Gabris

Title

Chief Financial Officer

Phone

(215) 641-6868

Specialties & licenses 1

Addresses

Other names 1

• Brooke Glen Behavioral Hospital Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1972662625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7170 LAFAYETTE AVE",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "19034",
            "telephone_number": "215-641-5300",
            "fax_number": "215-653-7872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7170 LAFAYETTE AVE",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "19034",
            "telephone_number": "215-641-5300",
            "fax_number": "215-653-7872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHC NORTHWEST PSYCHIATRIC HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "GABRIS",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "215-641-6868"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "122130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brooke Glen Behavioral Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Berol, LBS
• Ratesha Berthier, LCSW
• Robert Allen Best, LPN
• Tashana A Betancourt
• BHC Northwest Psychiatric Hospital LLC
• Joshua Paul Bickford, FNP-C
• Kelsey Black
• Cassie Blanchard, PH.D.
• Blooming Jade Counseling LLC
• Matthew David Blum, MD

• Psychiatry Physician in Fort Washington, PA
• Providers in Fort Washington, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.